Divine Intervention Episode 523: 2024 USMLE Step 2CK Free 120 Discussion Part 6

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Divine-Favour Anene

Medicine, Education, Science & Medicine, Higher Education

4.9 • 929 Ratings

🗓️ 22 March 2024

⏱️ 38 minutes

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Summary

In this series, I continue our deep examination of the current Free 120 for the Step 2CK exam. As mentioned earlier, consider listening to this series if you’re also preparing for Step 3 and COMLEX 2/3. Lots of useful nuggets here. If you’re interested in the review classes for Step 1-3 taking place this month … Continue reading Divine Intervention Episode 523: 2024 USMLE Step 2CK Free 120 Discussion Part 6

Transcript

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0:00.0	Welcome to episode 523 of the Divine Intervention Podcast.
0:05.0	In today's podcast we'll be continuing the series for the Step 2 CK Free 120,
0:11.0	the 2024 free 120. This is going to be part six. We've done the first 40
0:15.8	questions. We're literally going to roll into a block two. So it's going to be question
0:18.8	41. Let's get right to it. A 40 year old man comes to the office during the summer because of a three day history of fever, diffused muscle aches, fatigue and sore throat. He has had no sick contacts. Medical history is
0:35.8	unremarkable and he takes no medications. He received the influenza virus
0:40.8	vaccine this year. Ten days ago he returned from a trip to Malaysia where he
0:46.3	says he enjoyed the local food and nightlife. Temperature is 38.8
0:51.6	8 degrees Celsius that's 101.8 degrees Fahrenheit. Pulse is 90 per minute. Respirations
0:57.7	at 16 per minute. And blood pressure is 126 over 70 millimeters of mercury. The remainder of the examination shows no
1:05.8	abnormalities. Results of laboratory studies are shown. So his hemoglobin is
1:11.4	10 grams per desal liter.
1:12.8	Okay, I'm not going to run through all these labs, but his hemoglobin is low.
1:16.4	He has an anemia.
1:18.1	His white count is also low, so he has a locopinia.
1:21.8	He splitlet count is normal. His red cell distribution
1:24.1	width appears to be normal as well, although I don't know the normal value for
1:27.5	that. I'm not going to waste time looking at that. Monosport test result is
1:30.8	negative, which are the following are the most appropriate next step in
1:33.6	diagnosis. So option A says side omega virus serologic testing option B says
1:40.1	Epstein bar virus serologic testing.
1:43.0	Option C says hemagglutinin inhibition assay.
	...

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